Physician

Ernesto Pinzon, MD

According to 2025 Medicare claims, Ernesto Pinzon, MD (NPI: 1013950542) practices nephrology in the Sebring, FL market, with the plurality of this provider's patient population coming from Highlands, FL. This provider's primary affiliated billing organization is ERNESTO PINZON PA (NPI: 1013955632; TIN: 65-1078189) and primary practice location at 33870-4912.

Pinzon's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 698 traditional Medicare patients, billed 9,676 HCPCS/CPT codes, and received $511,244 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 8,857 prescription claims across 790 beneficiaries totaling $1,141,881 in drug costs, led by Farxiga (Dapagliflozin Propanediol). DME data shows 432 claims. No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved up and down with repeated peaks and valleys, starting at $493,806 and ending at $511,244. Concurrently, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $50,838 and ending at $45,825.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	1,041	16,327	$493,806
2016	1,114	17,801	$497,970
2017	998	16,218	$609,735
2018	993	17,914	$659,964
2019	976	20,194	$575,769
2020	813	11,482	$400,069
2021	704	11,496	$387,965
2022	760	12,040	$552,183
2023	738	9,219	$527,218
2024	698	9,676	$511,244

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	644	9,199	$1,083,434
2016	663	9,289	$1,182,674
2017	646	8,369	$1,088,904
2018	695	8,553	$1,064,116
2019	732	8,508	$967,023
2020	655	7,747	$849,154
2021	666	7,079	$868,366
2022	671	7,300	$957,700
2023	732	7,750	$1,022,261
2024	790	8,857	$1,141,881

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	320	1,133	$49,054
2016	308	1,019	$26,341
2017	204	711	$14,284
2018	289	1,188	$31,056
2019	233	1,085	$37,092
2020	151	819	$33,365
2021	105	705	$27,993
2022	49	458	$15,235
2023	47	498	$30,444
2024	31	432	$35,534

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	314	525	$95
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	482	1,056	$66
99490	Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	341	2,461	$51
99439	Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	276	2,354	$40
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	450	887	$14

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Farxiga	Dapagliflozin Propanediol	123	7,870	$144,324
Jardiance	Empagliflozin	92	6,840	$131,499
Eliquis	Apixaban	81	4,160	$80,906
Rybelsus	Semaglutide	37	2,370	$74,548
Ozempic	Semaglutide	37	2,264	$65,148

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	16	49	$25,811
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	30	$2,005
A7032	Cushion for use on nasal mask interface, replacement only, each	N	N/R	21	$1,971
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	N/R	27	$1,298
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	15	33	$736

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Ernesto Pinzon, MD?

Tedicare shows public-source Medicare data for Ernesto Pinzon, MD (NPI 1013950542), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Ernesto Pinzon, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Ernesto Pinzon, MD?

Ernesto Pinzon, MD is linked to ERNESTO PINZON PA (billing NPI 1013955632) in the available physician profile data.

Does Ernesto Pinzon, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.